43D0706248 CLIA NUMBER - COTEAU DES PRAIRIES HOSPITAL/CLINIC

Laboratory Demographics

CLIA Number: 43D0706248

Facility Name: COTEAU DES PRAIRIES HOSPITAL/CLINIC

Facility Address:
205 ORCHARD DRIVE
SISSETON, SD
ZIP 57262
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Facility Phone Number: 605 698-7647

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1588978589

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	43D0706248
LAB Type	Physician Office
Facility Name	COTEAU DES PRAIRIES HOSPITAL/CLINIC
Street	205 ORCHARD DRIVE
City	SISSETON
State	SD
ZIP	57262
Phone	605 698-7647
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024